The surgical management choices may be considered according to available expertise, geographical and individual circumstances. Conservative approaches for women who wish to preserve their fertility aim to avoid hysterectomy. Some conservative treatments for uterus preservation include expectant management (wait and see), uterine artery embolization, Methotrexate therapy and uterus preserving surgeries (such as uterine internal/iliac artery ligation and balloon tamponade) [2]. Methotrexate has been used for many indications, including the treatment of Rheumatoid arthritis and other
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